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Community and In-Home Models

AJN, American Journal of Nursing: September 2008 - Volume 108 - Issue 9 - p 72
doi: 10.1097/
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LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to

  • describe two successful models for working with older adults in the community.

1. The Program of All-Inclusive Care for the Elderly (PACE) is for persons who are able to live safely in the community, but what criteria must they meet?

a. age 50 or older

b. have at least one family caregiver

c. he criteria for nursing home admission

d. have third-party-payor insurance

2. The findings of demonstration projects of the PACE model that were conducted in the mid-1980s demonstrated that PACE was associated with

a. decreased inpatient hospital admissions.

b. increased home visits by home care nurses.

c. slightly decreased life expectancy.

d. moderately increased cost of home care.

3. In the PACE model, what is the primary site of delivery for many of the services?

a. an adult day health care center

b. a gerontologist's office

c. a hospital outpatient department

d. the patient's home

4. Which of the following is not[JB: ital] an outcome associated with the PACE model?

a. improved financial stability

b. improved overall health

c. improved functional status

d. improved risk-adjusted patient death rate

5. Who funds California's In-Home Supportive Services Program?


b. Medicare

c. California's Medicaid program

d. Veterans Health Administration

6. California's In-Home Supportive Services Program is a consumer-directed care model in which the person receives cash to

a. cover the expense of medications, meal preparation, and transportation services.

b. employ the caregivers of her or his choosing, including family caregivers.

c. invest in a fund that will cover long-term care expenses.

d. pay for adult day health care services.

7. This California model makes it easier for older adults and others to receive

a. assistive devices.

b. care from a variety of specialists.

c. culturally appropriate care.

d. medications.

8. According to this article, which statement is accurate?

a. The highly regulated PACE model was less effective than more flexible programs in controlling hospital and ED use by its enrollees.

b. Federal and state rules make the PACE program highly organized and regulated.

c. The interdisciplinary team assesses each participant before enrollment and weekly.

d. The PACE financing model limits participation to enrollees who are Medicaid eligible.


© 2008 Lippincott Williams & Wilkins, Inc.